Gene linked to Myeloma.

A of a gene has been directly linked to . Myeloma is one of the most common types of and the research published in the journal Nature Genetics points to the among four new that causes the .

Myeloma affects around 4,700 patients each year, and is caused by in white blood cells, which normally help fight infection and injury. Less than four in 10 sufferers survive the disease for more than five years, and three in 10 die within a year.

The study has more than doubled the number of genetic variants linked to myeloma, bringing the total number to seven.

One found by the researchers is linked to a gene called TERC, which regulates the length of the telomere ‘caps’ on the ends of DNA. In healthy cells, these caps erode over time — causing tissues to age — but some seem able to ignore the ageing trigger in order to keep on dividing. If further studies confirm the link, TERC could be a for future myeloma treatments.

The research team determined  the new markers by comparing the genetic make-up of a total of 4,692 myeloma patients with DNA from 10,990 people without the disease. A previous UK study led by the team, from The Institute of (ICR) and funded by Myeloma UK, found three genetic variants,  which lead to increased risk of developing myeloma.

Study co-leader Professor Richard Houlston, Professor of Molecular and Population Genetics at The Institute of , said:

“Our study has taken an important step forward in understanding the genetics of myeloma, and suggested an intriguing potential link with a gene that acts as a cell’s internal timer.

“We know cancer often seems to ignore the usual controls over ageing and cell death, and it will be fascinating to explore whether in that is a result of a direct . Eventually, understanding the complex genetics of should allow us to assess a person’s risk or identify new avenues for treatment.”

In people affected by myeloma, white blood cells called plasma cells grow uncontrollably in the bone marrow and become stuck there, disrupting normal blood production. It can be very painful, and affects bones in multiple parts of the body.

Professor Chris Bunce, Research Director at Leukaemia & Lymphoma Research, said: “The identification of these risk offers more compelling evidence that susceptibility to myeloma can be inherited. Myeloma remains incurable and the effect on patients’ quality of life can be devastating.

“By showing how these specific genes influence the cancer’s development, this research could potentially lead to the development of targeted myeloma drugs in the future. In addition we know that a common condition called MGUS predisposes to the development of myeloma. The identification of additional genetic risk factors in these patients could revolutionize their future management and prospects.”

>Daniel Chubb, Niels Weinhold, Peter Broderick, Bowang Chen, David C Johnson, Asta Försti, Jayaram Vijayakrishnan, Gabriele Migliorini, Sara E Dobbins, Amy Holroyd, Dirk Hose, Brian A Walker, Faith E Davies, Walter A Gregory, Graham H Jackson, Julie A Irving, Guy Pratt, Chris Fegan, James A L Fenton, Kai Neben, Per Hoffmann, Markus M Nöthen, Thomas W Mühleisen, Lewin Eisele, Fiona M Ross, Christian Straka, Hermann Einsele, Christian Langer, Elisabeth Dörner, James M Allan, Anna Jauch, Gareth J Morgan, Kari Hemminki, Richard S Houlston, Hartmut Goldschmidt. Common variation at 3q26.2, 6p21.33, 17p11.2 and 22q13.1 influences multiple myeloma risk. Nature Genetics, 2013; DOI: 10.1038/ng.2733

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